Provider Demographics
NPI:1225640477
Name:ROWE, NOELLE KENDRA-LEAH
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:KENDRA-LEAH
Last Name:ROWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 HUNTINGTON PARK DR APT 203
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-5823
Mailing Address - Country:US
Mailing Address - Phone:410-245-5492
Mailing Address - Fax:
Practice Address - Street 1:7600 HUNTINGTON PARK DR APT 203
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-5823
Practice Address - Country:US
Practice Address - Phone:410-245-5492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
OHS.2001254-TRNE104100000X
OHS.2106227104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker